NPI | 1891999462 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: CA 20A 10956) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0023120) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2013-03-13 |